原发性肝癌患者睡眠信念态度现状及影响因素分析

Current status and influencing factors of beliefs and attitudes about sleep in patients with hepatocellular carcinoma

目的 调查原发性肝癌患者睡眠信念态度现状并探讨其及影响因素.方法 采用睡眠信念态度量表对206例原发性肝癌患者进行问卷调查,采用单因素分析比较不同基本资料原发性肝癌患者睡眠信念态度的差异,采用多元线性逐步回归分析探讨原发性肝癌患者睡眠信念态度的影响因素.结果 原发性肝癌患者睡眠信念态度总分为（85.15±13.36）分;不同文化程度、家庭收入、职业、病程、Karnofsky评分、知情情况的原发性肝癌患者的睡眠信念态度比较,差异有统计学意义（P〈0.05）;多元线性逐步回归分析结果 显示,Karnofsky评分、知情情况、病程、职业、家庭收入为原发性肝癌患者睡眠信念态度的影响因素（P〈0.05）.结论 原发性肝癌睡眠信念态度处于较低水平,受多种因素影响,应采用针对性的干预措施来改善其睡眠信念态度.

Objective To investigate the current status of the beliefs and attitudes about sleep and to discuss its influencing factors in patients with hepatocellular carcinoma. Methods A total of 206 patients with hepatocellular carcinoma were investigated with （beliefs and attitudes about sleep scale, BASS）. Single factor analysis was used to compare the difference of beliefs and attitudes about sleep among hepatocellular carcinoma patients with different basic data. Multiple linear stepwise regression was adopted to explore the influencing factors of the beliefs and attitudes about sleep in patients with hepatocellular carcinoma. Results The total score of BASS in patients with hepatocellular carcinoma was （85. 15 ± 13. 36）. There were statistically significant differences in the beliefs and attitudes about sleep in patients with hepatocellular carcinoma among different degrees of education, family incomes, occupations, duration of disease, the Karnofsky score and knowledge of the facts （P〈0. 05）. The multiple linear stepwise regression analysis results showed that the influencing factors the beliefs and attitudes about sleep in patients with hepatocellular carcinoma were the Karnofsky score, informed situation, duration of disease, occupation, family income （P〈0. 05）. Conclusions The beliefs and attitudes about sleep in patients with hepatocellular carcinoma were in low level and were influenced by various factors. Targeted interventions should be taken to strengthen their beliefs and attitudes about sleep.